Carly Gamangasso

NPI #1871318402 in Nampa, Idaho

Provider Information

NPI Number: 1871318402
Entity Type: Individual
Name: Carly Gamangasso
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 19, 2024
Last Updated: Nov 19, 2024

Practice Location

Address: 16150 N HIGH DESERT ST STE 214
City: Nampa
State: Idaho
ZIP Code: 83687-5566
Phone: (208) 860-7131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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